TY - JOUR T1 - Pericardial decompression syndrome in a patient with hypothyroidism presenting as massive pericardial effusion: a case report and review of related literature JF - BMJ Case Reports DO - 10.1136/bcr.04.2011.4117 VL - 2011 SP - bcr0420114117 AU - Aveline Sue Ann Lim Lim AU - Elizabeth Paz-Pacheco AU - Michael Reyes AU - Felix Punzalan Y1 - 2011/10/07 UR - http://casereports.bmj.com/content/2011/bcr.04.2011.4117.abstract N2 - The authors present a case of a 44-year-old female with unrecognised hypothyroidism consulting for heart failure symptoms. Echocardiogram revealed massive pericardial effusion with tamponade physiology, attributed to primary hypothyroidism from a previous thyroidectomy. Levothyroxine was started at a dose of 0.7 ug/kg/day followed by subxiphoid pericardiostomy. 9 h postpericardiostomy however, hypotension developed and despite hydration and inotropic support, patient succumbed to cardiogenic shock on the 14th hospital day. ER -